Individual
DR. MAKARIOS IBRAHIM WIFKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 GROVEDALE TRCE, ANTIOCH, TN 37013-1967
(615) 823-0832
Mailing address
148 GROVEDALE TRCE, ANTIOCH, TN 37013-1967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46442
TN
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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